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Although a variety of
infectious diseases An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable di ...
existed in the Americas in
pre-Columbian In the history of the Americas, the pre-Columbian era spans from the original settlement of North and South America in the Upper Paleolithic period through European colonization, which began with Christopher Columbus's voyage of 1492. Usually, ...
times, the limited size of the populations, smaller number of domesticated animals with
zoonotic disease A zoonosis (; plural zoonoses) or zoonotic disease is an infectious disease of humans caused by a pathogen (an infectious agent, such as a bacterium, virus, parasite or prion) that has jumped from a non-human (usually a vertebrate) to a ...
s, and limited interactions between those populations (as compared to areas of Europe and Asia) hampered the transmission of communicable diseases. One notable infectious disease of American origin is
syphilis Syphilis () is a sexually transmitted infection caused by the bacterium '' Treponema pallidum'' subspecies ''pallidum''. The signs and symptoms of syphilis vary depending in which of the four stages it presents (primary, secondary, latent, a ...
. Aside from that, most of the major infectious diseases known today originated in the
Old World The "Old World" is a term for Afro-Eurasia that originated in Europe , after Europeans became aware of the existence of the Americas. It is used to contrast the continents of Africa, Europe, and Asia, which were previously thought of by thei ...
(Africa, Asia, and Europe). The American era of limited infectious disease ended with the arrival of Europeans in the Americas and the
Columbian exchange The Columbian exchange, also known as the Columbian interchange, was the widespread transfer of plants, animals, precious metals, commodities, culture, human populations, technology, diseases, and ideas between the New World (the Americas) in ...
of microorganisms, including those that cause human diseases. Eurasian infections and epidemics had major effects on Native American life in the colonial period and nineteenth century, especially. Eurasia was a crossroads among many distant, different peoples separated by hundreds, if not thousands, of miles. But repeated warfare by invading populations spread infectious disease throughout the continent, as did trade, including the
Silk Road The Silk Road () was a network of Eurasian trade routes active from the second century BCE until the mid-15th century. Spanning over 6,400 kilometers (4,000 miles), it played a central role in facilitating economic, cultural, political, and rel ...
. For more than 1,000 years travelers brought goods and infectious diseases from the East, where some of the latter had jumped from animals to humans. As a result of chronic exposure, many infections became
endemic Endemism is the state of a species being found in a single defined geographic location, such as an island, state, nation, country or other defined zone; organisms that are indigenous to a place are not endemic to it if they are also found else ...
within their societies over time, so that surviving Europeans gradually developed some acquired immunity, although they were still subject to pandemics and epidemics. Europeans carried such endemic diseases when they migrated and explored the New World. Native Americans often contracted infectious disease through trading and exploration contacts with Europeans, and these were transmitted far from the sources and colonial settlements, through exclusively Native American trading transactions. Warfare and enslavement also contributed to disease transmission. Because their populations had not been previously exposed to most of these infectious diseases, the indigenous people rarely had individual or population acquired immunity and consequently suffered very high mortality. The numerous deaths disrupted Native American societies. This phenomenon is known as the virgin soil effect.


European contact

The arrival and settlement of Europeans in the Americas resulted in what is known as the
Columbian exchange The Columbian exchange, also known as the Columbian interchange, was the widespread transfer of plants, animals, precious metals, commodities, culture, human populations, technology, diseases, and ideas between the New World (the Americas) in ...
. During this period European settlers brought many different technologies, animals, plants, and lifestyles with them, some of which benefited the indigenous peoples. Europeans also took plants and goods back to the Old World. Potatoes and tomatoes from the Americas became integral to European and Asian cuisines, for instance. But Europeans also unintentionally brought new
infectious diseases An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable di ...
, including
smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...
,
bubonic plague Bubonic plague is one of three types of plague caused by the plague bacterium ('' Yersinia pestis''). One to seven days after exposure to the bacteria, flu-like symptoms develop. These symptoms include fever, headaches, and vomiting, as wel ...
,
chickenpox Chickenpox, also known as varicella, is a highly contagious disease caused by the initial infection with varicella zoster virus (VZV). The disease results in a characteristic skin rash that forms small, itchy blisters, which eventually scab ...
,
cholera Cholera is an infection of the small intestine by some strains of the bacterium '' Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting an ...
, the common cold,
diphtheria Diphtheria is an infection caused by the bacterium '' Corynebacterium diphtheriae''. Most infections are asymptomatic or have a mild clinical course, but in some outbreaks more than 10% of those diagnosed with the disease may die. Signs and s ...
,
influenza Influenza, commonly known as "the flu", is an infectious disease caused by influenza viruses. Symptoms range from mild to severe and often include fever, runny nose, sore throat, muscle pain, headache, coughing, and fatigue. These symptom ...
,
malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. ...
,
measles Measles is a highly contagious infectious disease caused by measles virus. Symptoms usually develop 10–12 days after exposure to an infected person and last 7–10 days. Initial symptoms typically include fever, often greater than , cough, ...
,
scarlet fever Scarlet fever, also known as Scarlatina, is an infectious disease caused by '' Streptococcus pyogenes'' a Group A streptococcus (GAS). The infection is a type of Group A streptococcal infection (Group A strep). It most commonly affects chi ...
,
sexually transmitted disease Sexually transmitted infections (STIs), also referred to as sexually transmitted diseases (STDs) and the older term venereal diseases, are infections that are spread by sexual activity, especially vaginal intercourse, anal sex, and or ...
s (with the possible exception of
syphilis Syphilis () is a sexually transmitted infection caused by the bacterium '' Treponema pallidum'' subspecies ''pallidum''. The signs and symptoms of syphilis vary depending in which of the four stages it presents (primary, secondary, latent, a ...
),
typhoid Typhoid fever, also known as typhoid, is a disease caused by ''Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several d ...
,
typhus Typhus, also known as typhus fever, is a group of infectious diseases that include epidemic typhus, scrub typhus, and murine typhus. Common symptoms include fever, headache, and a rash. Typically these begin one to two weeks after exposure. ...
,
tuberculosis Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, ...
(although a form of this infection existed in South America prior to contact), and pertussis. Each of these resulted in sweeping epidemics among Native Americans, who had disability, illness, and a high
mortality rate Mortality rate, or death rate, is a measure of the number of deaths (in general, or due to a specific cause) in a particular population, scaled to the size of that population, per unit of time. Mortality rate is typically expressed in units of d ...
. The Europeans infected with such diseases typically carried them in a dormant state, were actively infected but
asymptomatic In medicine, any disease is classified asymptomatic if a patient tests as carrier for a disease or infection but experiences no symptoms. Whenever a medical condition fails to show noticeable symptoms after a diagnosis it might be considered a ...
, or had only mild symptoms, because Europe had been subject for centuries to a selective process by these diseases. The explorers and colonists often unknowingly passed the diseases to natives. The introduction of
African slaves Slavery has historically been widespread in Africa. Systems of servitude and slavery were common in parts of Africa in ancient times, as they were in much of the rest of the ancient world. When the trans-Saharan slave trade, Indian Ocean ...
and the use of commercial trade routes contributed to the spread of disease. The infections brought by Europeans are not easily tracked, since there were numerous outbreaks and all were not equally recorded. Historical accounts of epidemics are often vague or contradictory in describing how victims were affected. A rash accompanied by a fever might be smallpox, measles, scarlet fever, or varicella, and many epidemics overlapped with multiple infections striking the same population at once, therefore it is often impossible to know the exact causes of mortality (although ancient DNA studies can often determine the presence of certain microbes).
Smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...
was the disease brought by Europeans that was most destructive to the Native Americans, both in terms of morbidity and mortality. The first well-documented smallpox epidemic in the Americas began in
Hispaniola Hispaniola (, also ; es, La Española; Latin and french: Hispaniola; ht, Ispayola; tnq, Ayiti or Quisqueya) is an island in the Caribbean that is part of the Greater Antilles. Hispaniola is the most populous island in the West Indies, and th ...
in late 1518 and soon spread to Mexico. Estimates of mortality range from one-quarter to one-half of the population of central Mexico. Native Americans initially believed that illness primarily resulted from being out of balance, in relation to their religious beliefs. Typically, Native Americans held that disease was caused by either a lack of magical protection, the intrusion of an object into the body by means of
sorcery Sorcery may refer to: * Magic (supernatural), the application of beliefs, rituals or actions employed to subdue or manipulate natural or supernatural beings and forces ** Witchcraft, the practice of magical skills and abilities * Magic in fiction, ...
, or the absence of the free soul from the body. Disease was understood to enter the body as a natural occurrence if a person was not protected by spirits, or less commonly as a result of malign human or supernatural intervention. For example,
Cherokee spiritual beliefs Cherokee spiritual beliefs are held in common among the Cherokee people – Native American peoples who are indigenous to the Southeastern Woodlands, and today live primarily in communities in North Carolina (the Eastern Band of Cherokee Indian ...
attribute disease to revenge imposed by animals for killing them. In some cases, disease was seen as a punishment for disregarding tribal traditions or disobeying tribal rituals. Spiritual powers were called on to cure diseases through the practice of
shamanism Shamanism is a religious practice that involves a practitioner (shaman) interacting with what they believe to be a spirit world through altered states of consciousness, such as trance. The goal of this is usually to direct spirits or spiri ...
. Most Native American tribes also used a wide variety of
medicinal plants Medicinal plants, also called medicinal herbs, have been discovered and used in traditional medicine practices since prehistoric times. Plants synthesize hundreds of chemical compounds for various functions, including defense and protection ag ...
and other substances in the treatment of disease.


Smallpox

Smallpox was lethal to many Native Americans, resulting in sweeping epidemics and repeatedly affecting the same tribes. After its introduction to Mexico in 1519, the disease spread across South America, devastating indigenous populations in what are now Colombia, Peru and Chile during the sixteenth century. The disease was slow to spread northward due to the sparse population of the northern Mexico desert region. It was introduced to eastern North America separately by colonists arriving in 1633 to
Plymouth, Massachusetts Plymouth (; historically known as Plimouth and Plimoth) is a town in Plymouth County, Massachusetts, United States. Located in Greater Boston, the town holds a place of great prominence in American history, folklore, and culture, and is known ...
, and local Native American communities were soon struck by the virus. It reached the
Mohawk nation The Mohawk people ( moh, Kanienʼkehá꞉ka) are the most easterly section of the Haudenosaunee, or Iroquois Confederacy. They are an Iroquoian-speaking Indigenous people of North America, with communities in southeastern Canada and northern N ...
in 1634, the
Lake Ontario Lake Ontario is one of the five Great Lakes of North America. It is bounded on the north, west, and southwest by the Canadian province of Ontario, and on the south and east by the U.S. state of New York. The Canada–United States border sp ...
area in 1636, and the lands of other
Iroquois The Iroquois ( or ), officially the Haudenosaunee ( meaning "people of the longhouse"), are an Iroquoian Peoples, Iroquoian-speaking Confederation#Indigenous confederations in North America, confederacy of First Nations in Canada, First Natio ...
tribes by 1679. Between 1613 and 1690 the Iroquois tribes living in Quebec suffered twenty-four epidemics, almost all of them caused by smallpox. By 1698 the virus had crossed the Mississippi, causing an epidemic that nearly obliterated the Quapaw Indians of Arkansas. The disease was often spread during war. John McCullough, a Delaware captive since July 1756, who was then 15 years old, wrote that the
Lenape The Lenape (, , or Lenape , del, Lënapeyok) also called the Leni Lenape, Lenni Lenape and Delaware people, are an indigenous peoples of the Northeastern Woodlands, who live in the United States and Canada. Their historical territory inclu ...
people, under the leadership of Shamokin Daniel, "committed several depredations along the Juniata; it happened to be at a time when the smallpox was in the settlement where they were murdering, the consequence was, a number of them got infected, and some died before they got home, others shortly after; those who took it after their return, were immediately moved out of the town, and put under the care of one who had the disease before."McCullough, John
''The Captivity of John McCullough/ Personally written after eight years of captivity.''
McCullough, John: http:

Dixon, David
''Never Come to Peace Again: Pontiac's Uprising and the Fate of the British Empire in North America''
(pg. 155)
By the mid-eighteenth century the disease was affecting populations severely enough to interrupt trade and negotiations. Thomas Hutchins, in his August 1762 journal entry while at Ohio's Fort Miami, named for the Mineamie people, wrote: On June 24, 1763, during the siege of Fort Pitt, as recorded in his journal by
fur trader The fur trade is a worldwide industry dealing in the acquisition and sale of animal fur. Since the establishment of a world fur market in the early modern period, furs of boreal, polar and cold temperate mammalian animals have been the most ...
and militia captain William Trent, dignitaries from the
Delaware Delaware ( ) is a state in the Mid-Atlantic region of the United States, bordering Maryland to its south and west; Pennsylvania to its north; and New Jersey and the Atlantic Ocean to its east. The state takes its name from the adjacent ...
tribe met with British officials at the fort, warned them of "great numbers of Indians" coming to attack the fort, and pleaded with them to leave the fort while there was still time. The commander of the fort, Simeon Ecuyear, refused to abandon the fort. Instead, Ecuyear gave as gifts two blankets, one silk handkerchief and one piece of linen- all infected with smallpox from the fort infirmary- to the two Delaware emissaries Turtleheart and Mamaltee, allegedly in the hope of spreading the deadly disease to nearby tribes, as attested in Trent's journal.Ecuyer, Simeon: ''Fort Pitt and letters from the frontier'' (1892)
Captain Simeon Ecuyer's Journal: Entry of June 24,1763
/ref>Fenn, Elizabeth A

; The Journal of American History, Vol. 86, No. 4, March, 2000
The dignitaries were met again later and they seemingly hadn't contracted smallpox. A relatively small outbreak of smallpox had begun spreading earlier that spring, with a hundred dying from it among Native American tribes in the Ohio Valley and Great Lakes area through 1763 and 1764. The effectiveness of the biological warfare itself remains unknown, and the method used is inefficient compared to airborne transmission. 21st-century scientists such as V. Barras and G. Greub have examined such reports. They say that smallpox is spread by respiratory droplets in personal interaction, not by contact with fomites, such objects as were described by Trent. The results of such attempts to spread the disease through objects are difficult to differentiate from naturally occurring epidemics. Gershom Hicks, held captive by the Ohio Country
Shawnee The Shawnee are an Algonquian-speaking indigenous people of the Northeastern Woodlands. In the 17th century they lived in Pennsylvania, and in the 18th century they were in Pennsylvania, Ohio, Indiana and Illinois, with some bands in Kentucky a ...
and Delaware between May 1763 and April 1764, reported to Captain William Grant of the 42nd Regiment "that the Small pox has been very general & raging amongst the Indians since last spring and that 30 or 40 Mingoes, as many Delawares and some Shawneese Died all of the Small pox since that time, that it still continues amongst them". In the mid to late nineteenth century, at a time of increasing European-American travel and settlement in the West, at least four different epidemics broke out among the
Plains tribes Plains Indians or Indigenous peoples of the Great Plains and Canadian Prairies are the Native American tribes and First Nation band governments who have historically lived on the Interior Plains (the Great Plains and Canadian Prairies) of ...
between 1837 and 1870. When the Plains tribes began to learn of the "white man's diseases", many intentionally avoided contact with them and their trade goods. But the lure of trade goods such as metal pots, skillets, and knives sometimes proved too strong. The Indians traded with the white newcomers anyway and inadvertently spread disease to their villages. In the late 19th century, the Lakota Indians of the Plains called the disease the "rotting face sickness".Robertson, R. G. ''Rotting Face: Smallpox and the American Indian.'' Caxton Press, 2001.
/ref> The
1862 Pacific Northwest smallpox epidemic Year 186 ( CLXXXVI) was a common year starting on Saturday (link will display the full calendar) of the Julian calendar. At the time, it was known as the Year of the Consulship of Aurelius and Glabrio (or, less frequently, year 939 ''Ab urbe co ...
, which was brought from
San Francisco San Francisco (; Spanish for " Saint Francis"), officially the City and County of San Francisco, is the commercial, financial, and cultural center of Northern California. The city proper is the fourth most populous in California and 17t ...
to Victoria, devastated the
indigenous peoples of the Pacific Northwest Coast The Indigenous peoples of the Pacific Northwest Coast are composed of many nations and tribal affiliations, each with distinctive cultural and political identities. They share certain beliefs, traditions and practices, such as the centrality of sal ...
, with a death rate of over 50% for the entire coast from
Puget Sound Puget Sound ( ) is a sound of the Pacific Northwest, an inlet of the Pacific Ocean, and part of the Salish Sea. It is located along the northwestern coast of the U.S. state of Washington. It is a complex estuarine system of interconnected m ...
to
Southeast Alaska Southeast Alaska, colloquially referred to as the Alaska(n) Panhandle, is the southeastern portion of the U.S. state of Alaska, bordered to the east and north by the northern half of the Canadian province of British Columbia (and a small part ...
. In some areas the native population fell by as much as 90%. Some historians have described the epidemic as a deliberate
genocide Genocide is the intentional destruction of a people—usually defined as an ethnic, national, racial, or religious group—in whole or in part. Raphael Lemkin coined the term in 1944, combining the Greek word (, "race, people") with the ...
because the Colony of Vancouver Island and the Colony of British Columbia could have prevented the epidemic but chose not to, and in some ways facilitated it.


Effect on population numbers

Many Native American tribes suffered high mortality and depopulation, averaging 25–50% of the tribes' members dead from disease. Additionally, some smaller tribes neared extinction after facing a severely destructive spread of disease. A specific example was what followed Cortés' invasion of
Mexico Mexico (Spanish language, Spanish: México), officially the United Mexican States, is a List of sovereign states, country in the southern portion of North America. It is borders of Mexico, bordered to the north by the United States; to the so ...
. Before his arrival, the Mexican population is estimated to have been around 25 to 30 million. Fifty years later, the Mexican population was reduced to 3 million, mainly by infectious disease. A 2018 study by Koch, Brierley, Maslin and Lewis concluded that an estimated "55 million indigenous people died following the European conquest of the Americas beginning in 1492." By 1700, fewer than 5,000 Native Americans remained in the southeastern coastal region of the United States. In Florida alone, an estimated 700,000 Native Americans lived there in 1520, but by 1700 the number was around 2,000. Some 21st-century climate scientists have suggested that a severe reduction of the indigenous population in the Americas and the accompanying reduction in cultivated lands during the 16th, 17th and 18th centuries may have contributed to a global cooling event known as the
Little Ice Age The Little Ice Age (LIA) was a period of regional cooling, particularly pronounced in the North Atlantic region. It was not a true ice age of global extent. The term was introduced into scientific literature by François E. Matthes in 1939. Ma ...
. The loss of the population was so high that it was partially responsible for the myth of the Americas as "virgin wilderness". By the time significant European colonization was underway, native populations had already been reduced by 90%. This resulted in settlements vanishing and cultivated fields being abandoned. Since forests were recovering, the colonists had an impression of a land that was an untamed wilderness. Disease had both direct and indirect effects on deaths. High mortality meant that there were fewer people to plant crops, hunt game, and otherwise support the group. Loss of cultural knowledge transfer also affected the community as vital agricultural and food-gathering skills were not passed on to survivors. Missing the right time to hunt or plant crops affected the food supply, thus further weakening the community and making it more vulnerable to the next epidemic. Communities under such crisis were often unable to care for people who were disabled, elderly, or young. In summer 1639, a smallpox epidemic struck the
Huron Huron may refer to: People * Wyandot people (or Wendat), indigenous to North America * Wyandot language, spoken by them * Huron-Wendat Nation, a Huron-Wendat First Nation with a community in Wendake, Quebec * Nottawaseppi Huron Band of Potawato ...
natives in the St. Lawrence and
Great Lakes The Great Lakes, also called the Great Lakes of North America, are a series of large interconnected freshwater lakes in the mid-east region of North America that connect to the Atlantic Ocean via the Saint Lawrence River. There are five lakes ...
regions. The disease had reached the Huron tribes through French colonial traders from Québec who remained in the region throughout the winter. When the epidemic was over, the Huron population had been reduced to roughly 9000 people, about half of what it had been before 1634. The
Iroquois The Iroquois ( or ), officially the Haudenosaunee ( meaning "people of the longhouse"), are an Iroquoian Peoples, Iroquoian-speaking Confederation#Indigenous confederations in North America, confederacy of First Nations in Canada, First Natio ...
people, generally south of the Great Lakes, faced similar losses after encounters with French, Dutch and English colonists. During the 1770s, smallpox killed at least 30% (tens of thousands) of the Northwestern Native Americans.Lange, Greg. (2003-01-23
Smallpox epidemic ravages Native Americans on the northwest coast of North America in the 1770s
. Historyink.com. Retrieved on 2011-12-06.
The smallpox epidemic of 1780–1782 brought devastation and drastic depopulation among the
Plains Indians Plains Indians or Indigenous peoples of the Great Plains and Canadian Prairies are the Native American tribes and First Nation band governments who have historically lived on the Interior Plains (the Great Plains and Canadian Prairies) of ...
. By 1832, the federal government of the United States established a smallpox vaccination program for Native Americans. The
Commissioner of Indian Affairs The Bureau of Indian Affairs (BIA), also known as Indian Affairs (IA), is a United States federal agency within the Department of the Interior. It is responsible for implementing federal laws and policies related to American Indians and A ...
in 1839 reported on the casualties of the 1837 Great Plains smallpox epidemic: "No attempt has been made to count the victims, nor is it possible to reckon them in any of these tribes with accuracy; it is believed that if he number 17,200 for the upper Missouri River Indianswas doubled, the aggregate would not be too large for those who have fallen east of the
Rocky Mountains The Rocky Mountains, also known as the Rockies, are a major mountain range and the largest mountain system in North America. The Rocky Mountains stretch in straight-line distance from the northernmost part of western Canada, to New Mexico ...
." Historian
David Stannard David Edward Stannard (born 1941) is an American historian and Professor of American Studies at the University of Hawaii. He is particularly known for his book '' American Holocaust'' (Oxford University Press, 1992), in which he argues that Europea ...
asserts that by "focusing almost entirely on disease ... contemporary authors increasingly have created the impression that the eradication of those tens of millions of people was inadvertent—a sad, but both inevitable and 'unintended consequence' of human migration and progress." He says that their destruction "was neither inadvertent nor inevitable", but the result of microbial pestilence and purposeful genocide working in tandem. Historian Andrés Reséndez says that evidence suggests "among these human factors, slavery has emerged as a major killer" of the indigenous populations of the Caribbean between 1492 and 1550, rather than diseases such as smallpox, influenza and malaria.


Disability

Epidemics killed a high portion of people with disabilities and also resulted in numerous people with disabilities. The material and societal realities of disability for Native American communities were tangible. Scarlet fever could result in blindness or deafness, and sometimes both. Smallpox epidemics led to blindness and depigmented scars. Many Native American tribes prided themselves in their appearance, and the resulting skin disfigurement of smallpox deeply affected them psychologically. Unable to cope with this condition, tribe members were said to have committed
suicide Suicide is the act of intentionally causing one's own death. Mental disorders (including depression, bipolar disorder, schizophrenia, personality disorders, anxiety disorders), physical disorders (such as chronic fatigue syndrome), and ...
.


Archaeology of Disease

Paleo-scientists can see the expression of disease by looking at its effect on bones, yet this offers a limited view. Most common infectious diseases, such as those caused by microorganisms like
staphylococcus ''Staphylococcus'' is a genus of Gram-positive bacteria in the family Staphylococcaceae from the order Bacillales. Under the microscope, they appear spherical ( cocci), and form in grape-like clusters. ''Staphylococcus'' species are faculta ...
and streptococcus cannot be seen in the bones. Tuberculosis and the two forms of syphilis are considered rare and their diagnosis via osteological analysis is controversial. To understand health at the community level, scientists and health experts look at diet, the incidence and prevalence of infections, hygiene and waste disposal. Most diseases came to the Americas from Europe and Asia. One exception is syphilis, which originated in the Americas before 1492. A form of tuberculosis has also been identified in pre-Columbian populations, by bacterial genome sequences collected from human remains in Peru, and was probably transmitted to humans through
seal hunting Seal hunting, or sealing, is the personal or commercial hunting of seals. Seal hunting is currently practiced in ten countries: United States (above the Arctic Circle in Alaska), Canada, Namibia, Denmark (in self-governing Greenland only), Ice ...
.


See also

*
Little Ice Age The Little Ice Age (LIA) was a period of regional cooling, particularly pronounced in the North Atlantic region. It was not a true ice age of global extent. The term was introduced into scientific literature by François E. Matthes in 1939. Ma ...
*
New World Syndrome New World Syndrome is a set of non-communicable diseases brought on by consumption of junk food and a sedentary lifestyle, especially common to indigenous peoples of the Americas, Oceania, and circumpolar peoples. It is characterized by obesity, he ...
* Alcohol and Native Americans * Native American health *
Environmental racism Environmental racism or ecological apartheid is a form of institutional racism leading to landfills, incinerators, and hazardous waste disposal being disproportionally placed in communities of colour. Internationally, it is also associated with ...
* Impact of Old World diseases on the Maya * History of smallpox in Mexico *
1918 Spanish flu pandemic This year is noted for the end of the First World War, on the eleventh hour of the eleventh day of the eleventh month, as well as for the Spanish flu pandemic that killed 50–100 million people worldwide. Events Below, the events ...
*
COVID-19 pandemic in the Navajo Nation On March 17, 2020, the COVID-19 pandemic was reported to have reached the Navajo Nation. The virus then spread rapidly through the Navajo Nation to the point that the Navajo, in 2020, had a higher per capita rate of infection than any state of ...
* Impact of the COVID-19 pandemic on Native American tribes and tribal communities General: *
Native Americans in the United States Native Americans, also known as American Indians, First Americans, Indigenous Americans, and other terms, are the Indigenous peoples of the mainland United States ( Indigenous peoples of Hawaii, Alaska and territories of the United States ...
* Population history of indigenous peoples of the Americas * Health of Native Americans in the United States


References


External links


Indian Health Service



CDC American Indian and Alaska Native Populations
{{Native American topics, collapse Epidemics Disease And Epidemics Native American health Native American history